基于文献研究的推拿外治法不良事件分析与对策

Analysis on unhealthy accidents and countermeasure in external therapy based on literature research

关键词:  推拿  意外  现状分析  对策

Key words:  massage  accident  situation analysis  countermeasure

摘要:

[目的] 了解国内推拿不良事件现状,促进推拿手法的标准化,从而提高推拿治疗的安全性。[方法] 采用回顾性期刊文献研究,检索中国知网中国期刊全文数据库、维普中文科技期刊全文数据库、万方数据库、中国生物医学文献数据库的推拿不良事件病例报道类文献,对使用的手法、意外情况类型、原发疾病、事故原因、病例数等进行统计分析。[结果] 检出有效文献202篇,共 709个病例。分析结果显示推拿不良事件主要包括骨折与脱位、神经损伤、晕厥、截瘫、椎间盘突出症等。扳法、按法、牵引、被动肢体屈伸等手法标准化程度低,在推拿治疗中易导致不良事件发生。[结论] 部分推拿手法的安全性尚待提高,推拿手法标准化是提高其安全性的重要途径,相关工作亟待开展。

Abstract:

[Objective] To understand the current domestic situation of the unhealthy accident in massage, promote the standardization of massage and so improving the security of massage therapy. [Methods] Using a retrospective journal researching serial methods, all the case report literature about unhealthy accidents in massage among Chinese Journal Full-test Databaseon CNKI, CQVIP Chinese Science & Technology journal full-text Database, Wangfang Database and Chinese biomedical literature database were retrieved and a statistic analysis was performed about the used methods, the types of accidental situation, the primary disease, the cause of the accident and the number of the cases. [Results] The 202 effective literature, including 709 cases altogether were retrieved. The analyzed results indicated that the unhealthy accidents in massage were mainly bone fracture and dislocation, nerve damage (sympathetic nerve excitement disorder), dizziness, paraplegia, herniation of intervertebral disk and so on. A low degree of standard was existed in pulling manipulation, pressing maneuver, traction and passive inflection and protraction of extremities and they were easy to induce some unhealthy accidents. [Conclusion] The improving of the security of some massages are still needed. The standardization of massage methods is an important way to promote its security, in which the relevant work needs to be done in full operation soon.